Provider Demographics
NPI:1831337898
Name:NADERI CENTER FOR COSMETIC SURGERY & SKIN CARE, PLLC
Entity type:Organization
Organization Name:NADERI CENTER FOR COSMETIC SURGERY & SKIN CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NADERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-481-0002
Mailing Address - Street 1:1850 TOWN CENTER PARKWAY
Mailing Address - Street 2:SUITE 551
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3300
Mailing Address - Country:US
Mailing Address - Phone:703-481-0002
Mailing Address - Fax:703-481-5002
Practice Address - Street 1:1850 TOWN CENTER PARKWAY
Practice Address - Street 2:SUITE 551
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3300
Practice Address - Country:US
Practice Address - Phone:703-481-0002
Practice Address - Fax:703-481-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty